Data electronically extracted from the electronic health record require validation

Scheid, Lisa M.; Brown, L. Steven; Clark, Christopher A.; Rosenfeld, Charles R.

doi:10.1038/s41372-018-0311-8

Cited by 8 publications

(15 citation statements)

References 14 publications

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“…The algorithm was validated by comparing predicted pneumothorax by logistic regression analysis using the algorithm (Supplementary Table 1) with pneumothorax documented by chart review in neonates in several neonates the NICU subgroup. Cohen kappa was ≥0.9 for all variables [27].…”

Section: Outcome Variablesmentioning

confidence: 85%

Decreasing delivery room CPAP-associated pneumothorax at ≥35-week gestational age

et al. 2022

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We previously reported an increase in pneumothorax after implementing delivery room (DR) continuous positive airway pressure (CPAP) for labored breathing or persistent cyanosis in ≥35-week gestational age (GA) neonates unexposed to DR-positive pressure ventilation (DR-PPV). We hypothesized that pneumothorax would decrease after de-implementing DR-CPAP in those unexposed to DR-PPV or DR-O 2 supplementation (DR-PPV/O 2 ). STUDY DESIGN: In a retrospective cohort excluding DR-PPV the primary outcome was DR-CPAP-related pneumothorax (1st chest radiogram, 1st day of life). In a subgroup treated by the resuscitation team and admitted to the NICU, the primary outcome was DR-CPAP-associated pneumothorax (1st radiogram, no prior PPV) without DR-PPV/O 2 . RESULTS: In the full cohort, occurrence of DR-CPAP-related pneumothorax decreased after the intervention (11.0% vs 6.0%, P < 0.001). In the subgroup, occurrence of DR-CPAP-associated pneumothorax decreased after the intervention (1.4% vs. 0.06%, P < 0.001). CONCLUSION: The occurrence of CPAP-associated pneumothorax decreased after avoiding DR-CPAP in ≥35-week GA neonates without DR-PPV/O 2 .

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Section: Outcome Variablesmentioning

confidence: 85%

Decreasing delivery room CPAP-associated pneumothorax at ≥35-week gestational age

et al. 2022

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“…The current study was designed in 2013 to determine the incidence of early-onset hypoglycemia among late-preterm and term neonates admitted to the Mother-Baby Unit (MBU) at Parkland Hospital. Neonates had to have laboratory documented and carefully validated evidence of early-onset hypoglycemia [14]. The goal was to determine what characteristics differentiate those who achieved euglycemia with oral feeds only from those who failed early feeds and required iv glucose administration for persistent hypoglycemia.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…feeds, iv fluids, and medications used to treat hypoglycemia). For this purpose we used algorithms based on structured query language (SQL) that have been validated previously [14]. Information from neonates admitted to the NICU was extracted from the prospectively collected NICU Database, which has been validated on several occasions [19,20].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Strengths of this study include using a birth cohort, AAP guidelines for diagnosing and treating neonatal hypoglycemia [7], a validated method for EED [14], and the random split of the study population in order to both design and validate a weighted algorithm to predict the need for iv glucose infusion. Multiple variables were available to assess factors predicting the need for an iv glucose infusion and GIR ≥10 mg • kg -1 • min -1 .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…No information was collected on timing and volume of milk intake. This study was designed 8 years ago on neonates born 7-10 years ago; time lag between delivery and submission for publication resulted from the need to first design and validate methods for EED and to publish these findings [14]. Birthweight criteria for glucose POC were based on Lubchenco's growth curves, which had been obtained at high 14 This article is protected by copyright.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Factors Associated with Need for Intravenous Glucose Infusion for the Treatment of Early Neonatal Hypoglycemia in Late Preterm and Term Neonates

et al. 2023

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Objective: To determine which late-preterm (35-36wk gestational age [GA]) and term neonates with early-onset hypoglycemia in the first 72 hours postnatal required a continuous glucose infusion in order to achieve and successfully maintain euglycemia. Study Design: Retrospective cohort study of late preterm and term neonates born in 2010-2014 and admitted to the Mother-Baby Unit at Parkland Hospital who had laboratory-proven blood glucose concentration <40 mg/dL (2.2 mmol/L) during the first 72h of life. Among the subgroup needing iv glucose infusion, we analyzed which factors predicted a maximum glucose infusion rate (GIR) ≥10 mg · kg-1 · min-1. The entire cohort was randomly divided into a derivation cohort (n=1288) and a validation cohort (n=1298). Results: In multivariate analysis, the need for intravenous glucose infusion was associated with small size for GA, low initial glucose concentration, early-onset infection and other perinatal variables in both cohorts. A GIR ≥10 mg · kg-1 · min-1 was required in 14% neonates with blood glucose value <20 mg/dL during the first 3h of observation. The likelihood of a GIR ≥10 mg · kg-1 · min-1 was associated with lower initial blood glucose value and lower umbilical arterial pH. Conclusion: Need for intravenous glucose infusion was associated with small size for GA, low initial glucose concentration, early-onset infection and variables associated with perinatal hypoxia-asphyxia. The likelihood of a maximum GIR ≥10 mg · kg-1 · min-1 was greater in neonates with lower blood glucose value during the first 3 hours of observation and lower umbilical arterial pH.

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The implementation of a multidisciplinary, electronic health record embedded care pathway to improve structured data recording and decrease electronic health record burden

Ebbers,

Takes,

Smeele

et al. 2024

International Journal of Medical Informatics

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Data electronically extracted from the electronic health record require validation

Cited by 8 publications

References 14 publications

Decreasing delivery room CPAP-associated pneumothorax at ≥35-week gestational age

Decreasing delivery room CPAP-associated pneumothorax at ≥35-week gestational age

Factors Associated with Need for Intravenous Glucose Infusion for the Treatment of Early Neonatal Hypoglycemia in Late Preterm and Term Neonates

The implementation of a multidisciplinary, electronic health record embedded care pathway to improve structured data recording and decrease electronic health record burden

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